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Main Authors: Lu, Yujie, Li, Jingwen, Ju, Sibo, Su, Yanzhou, yao, he, Liu, Yisong, Zhu, Min, Cheng, Junlong
Format: Preprint
Published: 2026
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Online Access:https://arxiv.org/abs/2602.19213
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author Lu, Yujie
Li, Jingwen
Ju, Sibo
Su, Yanzhou
yao, he
Liu, Yisong
Zhu, Min
Cheng, Junlong
author_facet Lu, Yujie
Li, Jingwen
Ju, Sibo
Su, Yanzhou
yao, he
Liu, Yisong
Zhu, Min
Cheng, Junlong
contents Medical image segmentation is vital for clinical diagnosis and quantitative analysis, yet remains challenging due to the heterogeneity of imaging modalities and the high cost of pixel-level annotations. Although general interactive segmentation models like SAM have achieved remarkable progress, their transfer to medical imaging still faces two key bottlenecks: (i) the lack of adaptive mechanisms for modality- and anatomy-specific tasks, which limits generalization in out-of-distribution medical scenarios; and (ii) current medical adaptation methods fine-tune on large, heterogeneous datasets without selection, leading to noisy supervision, higher cost, and negative transfer. To address these issues, we propose SegMoTE, an efficient and adaptive framework for medical image segmentation. SegMoTE preserves SAM's original prompt interface, efficient inference, and zero-shot generalization while introducing only a small number of learnable parameters to dynamically adapt across modalities and tasks. In addition, we design a progressive prompt tokenization mechanism that enables fully automatic segmentation, significantly reducing annotation dependence. Trained on MedSeg-HQ, a curated dataset less than 1% of existing large-scale datasets, SegMoTE achieves SOTA performance across diverse imaging modalities and anatomical tasks. It represents the first efficient, robust, and scalable adaptation of general segmentation models to the medical domain under extremely low annotation cost, advancing the practical deployment of foundation vision models in clinical applications.
format Preprint
id arxiv_https___arxiv_org_abs_2602_19213
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle SegMoTE: Token-Level Mixture of Experts for Medical Image Segmentation
Lu, Yujie
Li, Jingwen
Ju, Sibo
Su, Yanzhou
yao, he
Liu, Yisong
Zhu, Min
Cheng, Junlong
Computer Vision and Pattern Recognition
Medical image segmentation is vital for clinical diagnosis and quantitative analysis, yet remains challenging due to the heterogeneity of imaging modalities and the high cost of pixel-level annotations. Although general interactive segmentation models like SAM have achieved remarkable progress, their transfer to medical imaging still faces two key bottlenecks: (i) the lack of adaptive mechanisms for modality- and anatomy-specific tasks, which limits generalization in out-of-distribution medical scenarios; and (ii) current medical adaptation methods fine-tune on large, heterogeneous datasets without selection, leading to noisy supervision, higher cost, and negative transfer. To address these issues, we propose SegMoTE, an efficient and adaptive framework for medical image segmentation. SegMoTE preserves SAM's original prompt interface, efficient inference, and zero-shot generalization while introducing only a small number of learnable parameters to dynamically adapt across modalities and tasks. In addition, we design a progressive prompt tokenization mechanism that enables fully automatic segmentation, significantly reducing annotation dependence. Trained on MedSeg-HQ, a curated dataset less than 1% of existing large-scale datasets, SegMoTE achieves SOTA performance across diverse imaging modalities and anatomical tasks. It represents the first efficient, robust, and scalable adaptation of general segmentation models to the medical domain under extremely low annotation cost, advancing the practical deployment of foundation vision models in clinical applications.
title SegMoTE: Token-Level Mixture of Experts for Medical Image Segmentation
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2602.19213